Provider Demographics
NPI:1144610213
Name:MEALS & TOLAR IMPAIRMENT SPECIALISTS PLLC
Entity Type:Organization
Organization Name:MEALS & TOLAR IMPAIRMENT SPECIALISTS PLLC
Other - Org Name:DBA PREMIER PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER TAX MATTERS
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:TOLAR
Authorized Official - Last Name:MEALS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-554-4820
Mailing Address - Street 1:150 BRETT CHASE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-5706
Mailing Address - Country:US
Mailing Address - Phone:270-554-4820
Mailing Address - Fax:270-448-0300
Practice Address - Street 1:150 BRETT CHASE
Practice Address - Street 2:SUITE B
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-5706
Practice Address - Country:US
Practice Address - Phone:270-554-4820
Practice Address - Fax:270-448-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty